Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $293.61 / $4,846.00	Facility		$172.91	$293.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $256.66 / $323.74	Professional		$172.57	$256.66	$323.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $205.69 / $283.85	Professional		$155.38	$205.69	$283.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $222.04 / $397.86	Facility		$170.80	$222.04	$397.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $342.52 / $446.76	Professional		$297.83	$342.52	$446.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.01 / $191.01 / $226.43	Facility		$191.01	$191.01	$226.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $289.85 / $484.43	Professional		$192.94	$289.85	$484.43
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $304.58 / $556.53	Professional		$230.47	$304.58	$556.53